| NPI | 1073882866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEVIN Therapist 302-464-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001118) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2013-04-05 |